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General NPI Number Information
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NPI Number | 1104977560
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Entity Type | Individual
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Provider Name | STEPHEN K OTEY MD
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Gender | Male
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 900 EARL FRYE BLVD SUITE A
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City | AMORY
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State | MS
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Zip | 38821-5507
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Country | US
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Telephone | 662-256-9331
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Fax | 662-597-6008
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Provider Business Mailing Address
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Address Line | 900 EARL FRYE BLVD SUITE A
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City | AMORY
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State | MS
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Zip | 38821-5507
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Country | US
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Telephone | 662-256-9331
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Fax | 662-597-6008
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 15322
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License Number State | MS
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